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002647 (AR)Building Address 53--245 AVti& DiaZ Owner YaM GOI&W-i Address City Zip Contractor �: r3lt�t3G��.fllt2 Address City Indio State Lic. & Classif. 4902 Arch., Engr., - " Designer Address P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 No. 002647 BUILDING: TYPE CONST. -OCC: GRP. A.P. Number el. Legal Description IZip 92202' ITel.' 345--1349 Project DescriptionRom a&utjm L,Ity Lic. # 354 Sq. Ft. Size - New ❑ Tel. City I Zip I State _ Lic. #- LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions:'of Chapter 9 (commencing with Section 70 OO) of Division 3 of the Business and Profession�Code, and my license is in full force and effect. I -� .t i i`^',... SIGNATURE M DATE J ' OWNER -BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to- construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that.he is exempt therefrom, and'lhe basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness a'n`d Professions Code: The Contractor's License Law does not apply to an owner of property who 'builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or. offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve. for the purpose of sale.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the -project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - 0,1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof: (Sec: 3800, Labor Code.) Policy No. Company O Copy is filed with the city. . ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation •or less.) - I certify that in the performance of thg work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date ' Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above- mentioned property for inspection purposes. Signature of applicant�/ ��_ Date Mailing Address A City, Stale, Zip HARD COPY No. No. Dw. Stories Units Add [i Alter ❑ - Repair ❑ Demolition ❑ REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center. Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Estimated Valuation 507.00 PERMIT AMOUNT Plan Chk. Dep. Date 1.0-16—r—Permit Plan Chk. Bal. Const. 0 4.w Mech. Electrical 14.00 Plumbing 18.00 S.M.L. .95 Grading Driveway Enc. Infrastructure TOTAL 205.37 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center. Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by:.. Date 1.0-16—r—Permit Validated by: Validation: A 6 5 4 2 10 20 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS JV A.C. UNIT COLL. AREA YARD SPKLR SYSTEM 2ND FL, SQ. FT. ROUGH PLUMB. BONDING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® porSEWER Cl GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS ` v DUCT WORK DRAINAGE PIPING CAR P. Q. FT. ® GAS (ROUGH) WALL SQ. FT. METER LOOP DRINKING FOUNTAIN SO. FT. ® OTHER APP./EQUIP. URINAL ESTIMATED CONSTRUCTION VALUATION $ GAS (FINAL) WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES GROUT WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1114 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/Ac HOUSE SEWER FIREPLACE GAS PIPING PERMIT FEE SPARK ARRESTOR PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK porSEWER Cl OR SEPTIC TANK WIRING ` v DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ -$ LUMBER GR. FINAL INSP. FRAMING �� FINAL INSP. ROOFING �? /�,��/ �y/ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL W414NG MESH ULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS, GARDEN WALL FINAL Lq 7 r -O 5-0 J C -,,o 1 30 � 5- 3.2 . CITY OF LA - U I NTA Community Development/Bldg. Dept. CONDITIONALLY ACCEPTED FOUR CONSTRUCTION SUBJEC-f TO MSTALLATION AS PER AND ALL APPLICABLE S DATE 1b k s Q o �h o o L I R 2 ` -rh a (CITY OF LA OUNT4 ®eveloP ent/ .i dg. Dept. j a �, 9 AC -�� r" 0 d CC � j-4-f6 AND ALL APOLQ�BLE c® ®AT'x 30- So Ck( $J G � m z L C -I 0 z L OWENS-CORNING Fi Barg l as wilding Insulation The contractor named below certifies that the Owens-Corning Fiberglas Building Insulation used carries the NAHB Research Foundation, Inc. label for assured thermal performance and that the Building Insulation is installed in conformance with current energy conservation regulations, California Administrative Code, Title 24, State of California, in the building located at: Address City Tract Number Exterior Walls fit/ Owens-Corning Fiberglas Type Insulation Z Thickness R -Value Ceilings Owens-Corning Fiberglas Type Insulation Thickness R -Value Floors Owens-Corning Fiberglas Type Insulation Thickness R -Value Foundation Walls Manufacturer Type Thickness R -Value General Contractor ' License No. By Ti le Date (Signatu Insula ' C tj,a+„r _ License No�� By -C�'�`,'�J Title � • Date (Signature) Homeowner Copy (White) State Copy (Yellow) I FIBERGLAS Builder Copy (Pink) OWENS-CORNING FIBERGLAS CORP. Pub. No. 16 -BL -6995-B Insulation Operating Division Litho in U.S.A., Jan., 1982 Copyright 0 1982 Owens-Corning Fiberglas Corp. Fiberglas Tower, Toledo, Ohio 43659